Please state any medical conditions such as asthma or allergies, needs or other information we should be aware of in relation to the child/children stated above.

If a student needs to take any of their own medication (whether self administered or otherwise) whilst on the Studio Premises, teachers or an appropriate representative of VBDance must be informed in writing. In any event, VBDance accepts no responsibility for administering such medication (and/or the effects of the same) and students’ parent / guardian take full responsibility.

I hereby consent to representatives of VBDance (who have a valid DBS certificate) acting in loco parentis on my behalf, for the child/children named above, and authorise them specifically to be able to consent to any emergency medical treatment necessary*

Yes, consent is given

No, consent is not given

I agree to have my personal details kept on file only for the purposes of running the school efficiently and understand that my data will be kept secure at all times . I agree to be contacted via email, telephone and text message in the event of an emergency, to receive updates, reminders, invoices and VBDance newsletters as necessary in accordance with the VBDance Privacy Policy.*